Developing a risk management framework to improve public health outcomes by enumerating and serotyping Salmonella in ground turkey.

IF 2.5 4区 医学 Q3 INFECTIOUS DISEASES Epidemiology and Infection Pub Date : 2024-01-08 DOI:10.1017/S0950268823002029
Fernando Sampedro, Francisco Garcés-Vega, Ali J Strickland, Craig W Hedberg
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Abstract

Salmonella enterica continues to be a leading cause of foodborne morbidity worldwide. A quantitative risk assessment model was developed to evaluate the impact of pathogen enumeration and serotyping strategies on public health after consumption of undercooked contaminated ground turkey in the USA. The risk assessment model predicted more than 20,000 human illnesses annually that would result in ~700 annual reported cases. Removing ground turkey lots contaminated with Salmonella exceeding 10 MPN/g, 1 MPN/g, and 1 MPN/25 g would decrease the mean number of illnesses by 38.2, 73.1, and 95.0%, respectively. A three-class mixed sampling plan was tested to allow the detection of positive lots above threshold levels with 2-6 (c = 1) and 3-8 samples per lot (c = 2) using 25-g and 325-g sample sizes for a 95% probability of rejecting a contaminated lot. Removal of positive lots with the presence of highly virulent serotypes would decrease the number of illnesses by 44.2-87.0%. Based on these model prediction results, risk management strategies should incorporate pathogen enumeration and/or serotyping. This would have a direct impact on illness incidence linking public health outcomes with measurable food safety objectives, at the cost of diverting production lots.

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制定风险管理框架,通过对土火鸡中的沙门氏菌进行计数和血清分型来改善公共卫生成果。
肠炎沙门氏菌仍然是全球食源性疾病的主要病因。为了评估病原体计数和血清分型策略对公众健康的影响,我们开发了一个定量风险评估模型,用于评估美国人食用未煮熟的受污染土火鸡后的健康状况。该风险评估模型预测每年将有超过 20,000 人患病,每年报告的病例约为 700 例。剔除沙门氏菌含量超过 10 MPN/g、1 MPN/g 和 1 MPN/25 g 的污染土火鸡批次,可使平均患病人数分别减少 38.2%、73.1% 和 95.0%。对三类混合采样计划进行了测试,以检测超过阈值水平的阳性批次,每批采样 2-6 个(c = 1)和 3-8 个(c = 2),采样量分别为 25 克和 325 克,剔除受污染批次的概率为 95%。剔除存在高致病性血清型的阳性批次可使疾病数量减少 44.2-87.0%。根据这些模型预测结果,风险管理策略应包括病原体计数和/或血清分型。这将对疾病发生率产生直接影响,将公共卫生结果与可衡量的食品安全目标联系起来,但代价是转移生产批次。
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来源期刊
Epidemiology and Infection
Epidemiology and Infection 医学-传染病学
CiteScore
4.10
自引率
2.40%
发文量
366
审稿时长
3-6 weeks
期刊介绍: Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.
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